EP4346964A1 - Hotte à oxygène hyperbare portable (phbo) pour patients atteints de la covid-19 - Google Patents
Hotte à oxygène hyperbare portable (phbo) pour patients atteints de la covid-19Info
- Publication number
- EP4346964A1 EP4346964A1 EP22816531.2A EP22816531A EP4346964A1 EP 4346964 A1 EP4346964 A1 EP 4346964A1 EP 22816531 A EP22816531 A EP 22816531A EP 4346964 A1 EP4346964 A1 EP 4346964A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- hood
- phbo
- patient
- oxygen
- value
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 title claims abstract description 157
- 239000001301 oxygen Substances 0.000 title claims abstract description 156
- 229910052760 oxygen Inorganic materials 0.000 title claims abstract description 156
- 208000025721 COVID-19 Diseases 0.000 title description 13
- 230000008859 change Effects 0.000 claims abstract description 8
- 239000007789 gas Substances 0.000 claims description 13
- 238000013135 deep learning Methods 0.000 claims description 12
- 239000008280 blood Substances 0.000 description 12
- 210000004369 blood Anatomy 0.000 description 12
- 238000000034 method Methods 0.000 description 12
- 238000002560 therapeutic procedure Methods 0.000 description 12
- 238000010586 diagram Methods 0.000 description 9
- 230000008569 process Effects 0.000 description 6
- 238000011282 treatment Methods 0.000 description 5
- 230000029058 respiratory gaseous exchange Effects 0.000 description 4
- 206010001526 Air embolism Diseases 0.000 description 3
- 230000008901 benefit Effects 0.000 description 3
- 238000005259 measurement Methods 0.000 description 3
- 238000002106 pulse oximetry Methods 0.000 description 3
- 238000007789 sealing Methods 0.000 description 3
- 238000009423 ventilation Methods 0.000 description 3
- 230000003253 viricidal effect Effects 0.000 description 3
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 2
- 208000028399 Critical Illness Diseases 0.000 description 2
- 208000034486 Multi-organ failure Diseases 0.000 description 2
- 208000010718 Multiple Organ Failure Diseases 0.000 description 2
- 230000001154 acute effect Effects 0.000 description 2
- 206010001053 acute respiratory failure Diseases 0.000 description 2
- 239000000443 aerosol Substances 0.000 description 2
- 230000036541 health Effects 0.000 description 2
- 208000028867 ischemia Diseases 0.000 description 2
- 230000031700 light absorption Effects 0.000 description 2
- 210000004072 lung Anatomy 0.000 description 2
- 238000005399 mechanical ventilation Methods 0.000 description 2
- 208000029744 multiple organ dysfunction syndrome Diseases 0.000 description 2
- 208000020588 necrotizing soft tissue infection Diseases 0.000 description 2
- 230000003287 optical effect Effects 0.000 description 2
- 238000001959 radiotherapy Methods 0.000 description 2
- 230000009467 reduction Effects 0.000 description 2
- 201000004193 respiratory failure Diseases 0.000 description 2
- 230000036387 respiratory rate Effects 0.000 description 2
- 238000004448 titration Methods 0.000 description 2
- 230000003612 virological effect Effects 0.000 description 2
- 206010002388 Angina unstable Diseases 0.000 description 1
- 206010062542 Arterial insufficiency Diseases 0.000 description 1
- BVKZGUZCCUSVTD-UHFFFAOYSA-M Bicarbonate Chemical class OC([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-M 0.000 description 1
- UGFAIRIUMAVXCW-UHFFFAOYSA-N Carbon monoxide Chemical compound [O+]#[C-] UGFAIRIUMAVXCW-UHFFFAOYSA-N 0.000 description 1
- 208000001408 Carbon monoxide poisoning Diseases 0.000 description 1
- 208000035473 Communicable disease Diseases 0.000 description 1
- 206010011224 Cough Diseases 0.000 description 1
- 208000025962 Crush injury Diseases 0.000 description 1
- 206010011951 Decompression Sickness Diseases 0.000 description 1
- 208000008960 Diabetic foot Diseases 0.000 description 1
- MYMOFIZGZYHOMD-UHFFFAOYSA-N Dioxygen Chemical compound O=O MYMOFIZGZYHOMD-UHFFFAOYSA-N 0.000 description 1
- 206010016654 Fibrosis Diseases 0.000 description 1
- 201000000628 Gas Gangrene Diseases 0.000 description 1
- 208000029523 Interstitial Lung disease Diseases 0.000 description 1
- 208000004221 Multiple Trauma Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 206010031252 Osteomyelitis Diseases 0.000 description 1
- XUIMIQQOPSSXEZ-UHFFFAOYSA-N Silicon Chemical compound [Si] XUIMIQQOPSSXEZ-UHFFFAOYSA-N 0.000 description 1
- 206010040943 Skin Ulcer Diseases 0.000 description 1
- 208000007814 Unstable Angina Diseases 0.000 description 1
- 241000700605 Viruses Species 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 208000007502 anemia Diseases 0.000 description 1
- 210000001367 artery Anatomy 0.000 description 1
- 230000006399 behavior Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 210000001185 bone marrow Anatomy 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 229910002091 carbon monoxide Inorganic materials 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 238000004590 computer program Methods 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 230000006837 decompression Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 235000019800 disodium phosphate Nutrition 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 229920001971 elastomer Polymers 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 230000004761 fibrosis Effects 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 238000002639 hyperbaric oxygen therapy Methods 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000001524 infective effect Effects 0.000 description 1
- 230000003960 inflammatory cascade Effects 0.000 description 1
- 201000004332 intermediate coronary syndrome Diseases 0.000 description 1
- 230000035987 intoxication Effects 0.000 description 1
- 231100000566 intoxication Toxicity 0.000 description 1
- 230000000302 ischemic effect Effects 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 229910052757 nitrogen Inorganic materials 0.000 description 1
- 238000010606 normalization Methods 0.000 description 1
- 238000006213 oxygenation reaction Methods 0.000 description 1
- 230000000241 respiratory effect Effects 0.000 description 1
- 208000023504 respiratory system disease Diseases 0.000 description 1
- 210000003296 saliva Anatomy 0.000 description 1
- 238000005070 sampling Methods 0.000 description 1
- 229920006395 saturated elastomer Polymers 0.000 description 1
- 208000037974 severe injury Diseases 0.000 description 1
- 230000009528 severe injury Effects 0.000 description 1
- 229910052710 silicon Inorganic materials 0.000 description 1
- 239000010703 silicon Substances 0.000 description 1
- 201000009890 sinusitis Diseases 0.000 description 1
- 238000002798 spectrophotometry method Methods 0.000 description 1
- 210000000130 stem cell Anatomy 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 231100000331 toxic Toxicity 0.000 description 1
- 230000002588 toxic effect Effects 0.000 description 1
- 230000000472 traumatic effect Effects 0.000 description 1
- 238000011277 treatment modality Methods 0.000 description 1
- 239000002699 waste material Substances 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
- A61B5/1455—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters
- A61B5/14551—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue using optical sensors, e.g. spectral photometrical oximeters for measuring blood gases
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
- A61M16/0605—Means for improving the adaptation of the mask to the patient
- A61M16/0627—Means for improving the adaptation of the mask to the patient with sealing means on a part of the body other than the face, e.g. helmets, hoods or domes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/6802—Sensor mounted on worn items
- A61B5/6803—Head-worn items, e.g. helmets, masks, headphones or goggles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/6813—Specially adapted to be attached to a specific body part
- A61B5/6825—Hand
- A61B5/6826—Finger
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G10/00—Treatment rooms or enclosures for medical purposes
- A61G10/02—Treatment rooms or enclosures for medical purposes with artificial climate; with means to maintain a desired pressure, e.g. for germ-free rooms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G10/00—Treatment rooms or enclosures for medical purposes
- A61G10/02—Treatment rooms or enclosures for medical purposes with artificial climate; with means to maintain a desired pressure, e.g. for germ-free rooms
- A61G10/023—Rooms for the treatment of patients at over- or under-pressure or at a variable pressure
- A61G10/026—Rooms for the treatment of patients at over- or under-pressure or at a variable pressure for hyperbaric oxygen therapy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G10/00—Treatment rooms or enclosures for medical purposes
- A61G10/04—Oxygen tents ; Oxygen hoods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/0057—Pumps therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/021—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes operated by electrical means
- A61M16/022—Control means therefor
- A61M16/024—Control means therefor including calculation means, e.g. using a processor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/021—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes operated by electrical means
- A61M16/022—Control means therefor
- A61M16/024—Control means therefor including calculation means, e.g. using a processor
- A61M16/026—Control means therefor including calculation means, e.g. using a processor specially adapted for predicting, e.g. for determining an information representative of a flow limitation during a ventilation cycle by using a root square technique or a regression analysis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
- A61M16/0883—Circuit type
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/1005—Preparation of respiratory gases or vapours with O2 features or with parameter measurement
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/40—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
- A61B5/0816—Measuring devices for examining respiratory frequency
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
- A61B5/083—Measuring rate of metabolism by using breath test, e.g. measuring rate of oxygen consumption
- A61B5/0836—Measuring rate of CO2 production
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
- A61M2016/0027—Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
- A61M2016/003—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
- A61M2016/0033—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/1005—Preparation of respiratory gases or vapours with O2 features or with parameter measurement
- A61M2016/102—Measuring a parameter of the content of the delivered gas
- A61M2016/1025—Measuring a parameter of the content of the delivered gas the O2 concentration
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/02—Gases
- A61M2202/0208—Oxygen
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/05—General characteristics of the apparatus combined with other kinds of therapy
- A61M2205/051—General characteristics of the apparatus combined with other kinds of therapy with radiation therapy
- A61M2205/053—General characteristics of the apparatus combined with other kinds of therapy with radiation therapy ultraviolet
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3344—Measuring or controlling pressure at the body treatment site
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3375—Acoustical, e.g. ultrasonic, measuring means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/06—Head
- A61M2210/0618—Nose
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/06—Head
- A61M2210/0625—Mouth
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2230/00—Measuring parameters of the user
- A61M2230/005—Parameter used as control input for the apparatus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2230/00—Measuring parameters of the user
- A61M2230/20—Blood composition characteristics
- A61M2230/205—Blood composition characteristics partial oxygen pressure (P-O2)
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2230/00—Measuring parameters of the user
- A61M2230/40—Respiratory characteristics
- A61M2230/42—Rate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2230/00—Measuring parameters of the user
- A61M2230/40—Respiratory characteristics
- A61M2230/43—Composition of exhalation
- A61M2230/432—Composition of exhalation partial CO2 pressure (P-CO2)
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2230/00—Measuring parameters of the user
- A61M2230/50—Temperature
Definitions
- the Sars-CoV-2 (COVID-19) pandemic has resulted in significant and unprecedented shifts in the delivery of health care services in the United States.
- COVID-19 patients the percentage of patients with severe and critical COVID-19 was reported to be 13.8% and 4.7%, respectively.
- the most likely cause of death was a severe acute respiratory failure (ARF). It is believed that if means of respiratory support, such as continuous positive airway pressure (CPAP) and noninvasive ventilation (NIV), can be chosen correctly and implemented in time, the fatality in severe patients could be reduced.
- CPAP continuous positive airway pressure
- NIV noninvasive ventilation
- a PHBO hood system may include a main hood, a neck sleeve configured to be disposed below the main hood, a pump system configured to control a pressure in the main hood to create hyperbaric environment in the PHBO hood system, and an intelligent controller.
- the pump system may include a pump and a flow line configured to supply oxygen to the main hood via the pump.
- the intelligent controller may be configured to receive an oxygen saturation value of a patient, receive an oxygen concentration value of the flow line, determine a target pressure of the main hood based on the oxygen saturation value and the oxygen concentration value, and control the pump system to change the pressure of the main hood to the target pressure.
- the main hood may be configured to cover a head of the patient and the neck sleeve may be configured to surround a neck of the patient so that only the head and the neck of the patient are exposed to the hyperbaric environment when the patient uses the PHBO hood system, thereby enabling the PHBO hood system to be easily moved to a place where the patient is located.
- the place may include an intensive care unit.
- the main hood may include one or more intervention ports that may allow a physical touch of a head or a neck of the patient without decompressing the main hood and without removing the main hood from the patient when the patient is wearing the main hood.
- the one or more intervention ports may include one or more intervention gloves.
- the PHBO hood system may include a pillow base configured to be coupled with the main hood and receive a pillow for the patient.
- the pillow base may be configured to be coupled with the main hood via one or more slide connectors.
- the neck sleeve may include at least one of a suction vent, a gas or air vent, and a speaker and microphone system.
- the neck sleeve may include a joint configured to open and close the neck sleeve to receive a neck of the patient.
- the intelligent controller may be configured to utilize deep learning algorithms to develop an intelligent model to optimize operating conditions of the PHBO hood system for the patient.
- the intelligent controller may be configured to generate a target pressure map using the deep learning algorithms.
- the intelligent controller may be configured to: set the target pressure to have a high value responsive to determining that the oxygen saturation value is low and the oxygen concentration value is high; and set the target pressure to have a middle value responsive to determining that the oxygen saturation value is low and the oxygen concentration value is low.
- the intelligent controller may be configured to: set the target pressure to have a high value responsive to determining that the oxygen saturation value is middle and the oxygen concentration value is middle; and set the target pressure to have a middle value responsive to determining that the oxygen saturation value is middle and the oxygen concentration value is low.
- the intelligent controller is configured to: set the target pressure to have a low value responsive to determining that the oxygen saturation value is high and the oxygen concentration value is high; set the target pressure to have a middle value responsive to determining that the oxygen saturation value is high and the oxygen concentration value is middle; and set the target pressure to have a high value responsive to determining that the oxygen saturation value is high and the oxygen concentration value is low.
- the PHBO hood system may further comprise a sensor configured to measure the oxygen saturation value of the patient.
- the senor may be configured to be worn on a finger of the patient.
- a portable hyperbaric oxygen (PHBO) hood system may include: a hood, a pump system configured to control a pressure in the hood to create hyperbaric environment in the PHBO hood system, and an intelligent controller.
- the pump system may include a pump and a flow line configured to supply oxygen to the hood via the pump.
- the intelligent controller may be configured to: receive an oxygen saturation value of a patient, receive an oxygen concentration value of the flow line, determine a target pressure of the main hood based on the oxygen saturation value and the oxygen concentration value, and control the pump system to change the pressure of the main hood to the target pressure.
- the hood may be configured to cover a head and a neck of the patient so that only the head and the neck of the patient are exposed to the hyperbaric environment when the patient uses the PHBO hood system, thereby enabling the PHBO hood system to be easily moved to a place where the patient is located.
- the hood may include a main hood configured to cover the head of the patient, and a neck sleeve configured to be disposed below the main hood and surround the neck of the patient.
- aspects of the present disclosure may provide several advantages over existing HBO therapy, such as bringing HBO therapy to the patient’s point-of-care, removing the need for moving a patient. This may provide a significant benefit when there is a need to treat a patient who is critically ill and infected with highly infectious diseases, such as COVID-19. Additionally, aspects of the present disclosure may provide optimized operating conditions for a patient, utilizing deep learning algorithms.
- FIG. 1 is a diagram of a PHBO hood system according to an example embodiment of the present disclosure.
- FIG. 2 is a diagram of an example neck sleeve of the PHBO hood system of Fig.
- FIG. 3 is a diagram of an example hood of a PHBO hood system according to an example embodiment of the present disclosure.
- Figs. 4(a)-4(d) are diagrams of an example process of operating an intelligent controller of a PHBO hood system: 4(a) overall process, 4(b) output variable ‘Pressure’, 4(c) input variable SpOi . and 4(d) input variable O2FI0W’.
- Fig. 5 is a diagram of a target pressure map/decision surface.
- Hyperbaric oxygen (HBO) therapy may be an alternative to the current ventilation support system.
- HBO therapy may refer to a treatment modality in which patients are enclosed in a hyperbaric chamber that enables inhalation of 100% oxygen at 2-3 times atmospheric pressure.
- HBO therapy may be performed in a monoplace (single -person occupancy) or multiple (multiple person occupancy) chamber. In the United States, most hyperbaric chambers are located within hospital settings.
- HBO therapy may increase the partial pressure of oxygen in plasma and tissues and may be commonly used in the treatment of decompression sickness, carbon monoxide intoxication, arterial gas embolism, necrotizing soft tissue infections, chronic skin ulcers, severe multiple trauma with ischemia, and ischemic diabetic foot ulcers.
- the PHBO hood system may include a main hood comprising intervention ports with pressure hatches and slide connectors; a pillow base with slide connectors; a neck sleeve comprising a suction vent, gas and air vents, speaker and microphone system, joints for opening and closing, and slide connectors; and an intelligent controller.
- the PHBO hood system may include three interlocking segments: the main hood, the pillow base, and the neck sleeve. These three components may be configured to be assembled together.
- the PHBO hood system may cover the head and neck of the patient.
- the main hood may have two gloved portals for the caregiver to interact with the patient and may be configured to collect data through the automatic measuring of respiratory rate, pressure, flow rate, Sp02, and capnography.
- the intelligent controller may be configured to obtain the oxygen saturation data from a SpC sensor fitted on the fingertip of the patient. This data is then applied to a pump driver system to change its operating point in order to appropriately change the pressure in the hood.
- the PHBO hood system may utilize deep learning algorithms to develop an intelligent model for the best-operating conditions for a patient.
- the control scheme may use a deep learning algorithm that may utilize Fuzzy Control logic, with the logic incorporating data and practices learned from the operation of similar systems.
- the intelligent controller may be configured to process the data collected from the patient via deep learning algorithms to develop an intelligent model for the best- operating conditions for the patient.
- the intelligent model may be configured to determine optimized operating conditions, such as automated air-breaks, partial pressures, and Fi02 titrations.
- the PHBO hood system may include oxygen inlet and outlet tubes and medical lines connected to the hood through air-sealed portals.
- the oxygen inlet and outlet tubes connected to the hood may be configured to have virucidal UV-C LED lights from UV chambers.
- the neck sleeve may be removably connected to the oxygen inlet and outlet tubes and the medical lines through air-sealed portals.
- the pillow base may include pillow and slide connectors.
- the PHBO hood system may include an oxygen generator, and an intelligent controller.
- the hood may be connected to the oxygen generator via the oxygen inlet and outlet tubes configured to have virucidal UV-C LED lights from the UV chambers.
- the intelligent controller may collect oxygen saturation level data of the patient and utilize the deep learning algorithms to provide the intelligent model determining the best- operating conditions for the patient.
- Fig. 1 illustrates a PHBO hood system 100 according to an example embodiment of the present disclosure.
- the PHBO hood system may include a hood 110, a pump system 140, and an intelligent controller 160.
- the hood 110 may be configured to cover a head and a neck of a patient.
- the hood 110 may be airtight, for example, once it is worn by a patient.
- the hood 110 may include a main hood 120 and a neck sleeve 130.
- the main hood 120 may be configured to cover the head of the patient.
- the neck sleeve 130 may be configured to be disposed below the main hood 120 and surround the neck of the patient.
- the neck sleeve 130 may include a hole in the center thereof to receive the neck of the patient.
- the neck sleeve may include a sealing member (e.g., rubber seal, silicon pad, or any other suitable sealing member) to provide an airtight sealing of the hood 110, for example, while a patient is wearing the hood 110 (e.g., the main hood 120 and the neck sleeve 130).
- a sealing member e.g., rubber seal, silicon pad, or any other suitable sealing member
- the main hood 120 and the neck sleeve 130 may be a separate component and removably attached to each other.
- the main hood 120 and the neck sleeve 130 may be a single component.
- the main hood 120 may be transparent.
- the main hood 120 may be not transparent (e.g., translucent) or may have both transparent and non-transparent portions.
- the pump system 140 may control a pressure in the hood 110 to create hyperbaric environment in the PHBO hood system 100 (e.g., in the hood 110).
- the pump system 140 may include a pump 150 and a flow line 142 configured to supply oxygen to the hood 110 via the pump 150.
- the pump system 140 may further include an oxygen source/generator 144 (e.g., oxygen tank) connected to the flow line 142.
- the oxygen source/generator 144 e.g., oxygen tank
- the pump system 140 may further include an oxygen sensor/controller 143.
- the oxygen sensor/controller may be disposed on the flow line 142.
- the oxygen sensor/controller 143 may be in communication with the intelligent controller 160. For example, the oxygen sensor/controller 143 may detect the oxygen concentration value/data of the flow line and transmit the value/data to the intelligent controller 160.
- the pump system 140 may further include an oxygen inlet 151 and an oxygen outlet 152.
- Each of the oxygen inlet 151 and the oxygen outlet 152 may be connected between the hood 110 and the pump 150.
- the oxygen (and/or any other gas) from the oxygen source/generator 144 may be supplied (from the pump 150) to the hood 110 through the oxygen inlet 151.
- the oxygen and any other gas (e.g., air, exhaled CO2) in the hood 110 may be discharged from the hood 110 through the oxygen outlet 152, for example, to the pump 150.
- the pump system 140 may further include UV chambers disposed on the oxygen inlet 151 and the oxygen outlet 152.
- the UV chambers may include an inlet UV chamber 153 and an outlet UV chamber 154.
- the inlet and outlet UV chambers 153, 154 may deactivate or destroy viruses in the oxygen or gas transmitted through the respective oxygen inlet and outlet 151, 152.
- the inlet and outlet UV chambers 153, 154 may transmit virucidal UV-C UED lights into the oxygen inlet and outlet 151, 152.
- the hood 110 may include one or more intervention ports.
- the one or more intervention ports 121, 122 may be in a form of a pressure hatch.
- the one or more intervention ports 121, 122 may allow medical lines/tubes to exit through the intervention ports 121, 122.
- the one or more invention ports may include a first intervention port 121 and a second intervention port 122.
- the first/second intervention port 121/122 may allow a physical touch (by a physician) of the head or the neck of the patient without decompressing the hood 110 (e.g., without breaking the hyperbaric environment) and/or without removing the hood 110 from the patient when the patient is wearing the hood 110.
- the one or more intervention ports 121, 122 may include one or more intervention gloves 123, 124.
- a physician may be able to interact with and/or check the patient (e.g., head or neck of the patient) using the intervention ports/gloves.
- the neck sleeve 130 may include one or more gas or air vents.
- the one or more gas or air vents may include a first vent 131 and a second vent 132.
- the first vent 131 may be connected to the oxygen inlet 151
- the second vent 132 may be connected to the oxygen outlet 152.
- the oxygen or any other gas from the oxygen inlet 151 may be transmitted into the hood 110 through the first vent 131.
- the oxygen or any other gas in the hood 110 may be vented out into the oxygen outlet 152 through the second vent 132.
- the neck sleeve 130 may further include a suction vent 134.
- the suction vent 134 may be provided for effluent aspiration.
- any liquid form of waste, such as saliva or water from the mouth of the patient can be discharged through the suction vent 134.
- the neck sleeve may 130 further include a speaker and microphone system.
- the neck sleeve 130 may include a speaker 137 and a microphone 138.
- the patient can communicate with a physician through the speaker and microphone system.
- the neck sleeve 130 may further include one or more joints 135. The joint may open and close the neck sleeve 130 to receive a neck of the patient.
- the main hood 120 and the neck sleeve 130 are formed as a single component, the main hood 120 may also have one or more joints to receive the neck and head of the patient.
- the PHBO hood system 100 may include an oxygen saturation level sensor 170.
- the oxygen saturation level sensor 170 may measure the oxygen saturation value of the patient.
- the oxygen saturation level sensor 170 may be worn on a finger of the patient. In other examples, the oxygen saturation level sensor 170 may be worn on any other part of the patient.
- the PHBO hood system 100 may further include one or more sensors to detect/measure the respiratory rate and pressures (e.g., pressure in the hood).
- the PHBO hood system 100 may further include one or more sensors for capnography (e.g., measurement of exhaled CO2) or for the measurement of any other vital signs (e.g., temperature) of the patient.
- the one or more sensors may be disposed on or in the hood 110. In other examples, the one or more sensors may be disposed in any other suitable portion of the PHBO hood system 100.
- Fig. 3 illustrates an example hood 200 of a PHBO hood system according to another example embodiment of the present disclosure.
- the hood 200 may include a main hood 220, a neck sleeve 230, and a pillow base 240.
- the main hood 220 and the neck sleeve 230 may be similar to or same as the main hood 120 and the neck sleeve 130 described above and, thus, duplicate description may be omitted.
- the pillow base 240 may include a pillow for the patient.
- the pillow base 240 may be assembled with the main hood 220 and the sleeve neck 230 to form an airtight hood 200 (e.g., hood 110).
- the pillow base 240 may be coupled with the main hood 220 through slide connectors.
- the pillow base 240 may include slide connectors 245 that can be coupled with the corresponding slide connectors 225 of the main hood 220.
- the pillow base 240 may be coupled with the main hood 220 using any other suitable coupling method.
- the neck sleeve 230 may also include slide connectors.
- the main hood 220, the pillow base 240, and the neck sleeve 230 may be assembled via the slide connectors thereof.
- the neck sleeve 230 may be assembled with the main hood 220 and the pillow base 240 using any other suitable assembling method.
- the intelligent controller 160 may utilize deep learning algorithms.
- the intelligent controller 160 may process data collected from the patient (e.g., data from the sensors in the system 100 and any other related data) via deep learning algorithms to develop an intelligent model for the best-operating conditions for the patient.
- the intelligent model may determine optimized operating conditions, such as automated air-breaks, partial pressures, and Fi02 titrations.
- Figs. 4(a)-4(d) are diagrams of an example process of operating the intelligent controller 160 of the PHBO hood system 100.
- the intelligent controller 160 may receive an oxygen saturation value (SpCh) of the patient and an oxygen concentration value (ChFlow) of the flow line 142.
- Fig. 4(c) may illustrate a diagram for example oxygen saturation data (SpCh)
- Fig. 4(d) may illustrate a diagram for example oxygen concentration data (ChFlow) of the flow line 142.
- These two values may be used as an input variable for the intelligent controller 160.
- the intelligent controller 160 may receive the oxygen saturation value (e.g., normalized Sp02 voltage value) and the oxygen concentration value (e.g., normalized oxygen concentration) from the oxygen saturation level sensor 170 and the oxygen sensor/controller 143, respectively.
- the oxygen saturation value e.g., normalized Sp02 voltage value
- the oxygen concentration value e.g., normalized oxygen concentration
- the intelligent controller 160 may determine a target pressure of the hood 100 based on the oxygen saturation value and the oxygen concentration value.
- the target pressure e.g., normalized pressure in the hood 110
- Fig. 4(b) may illustrate example output variable “pressure” data.
- Fig. 4(a) illustrates the overall process of operating the intelligent controller 160.
- the intelligent controller 160 may control the pump system 150 to change the pressure of the hood 110 to the target pressure.
- Fig. 5 is a diagram showing an example target pressure map/decision surface.
- the target pressure may be expressed in the form of a decision surface/target pressure map (e.g., changing target pressure values depending on the changes to the input variables Sp02 and 02Flow).
- the intelligent controller 110 may operate according to the determined target pressure map/decision surface.
- the target pressure map/decision surface may be generated using the deep learning algorithms.
- the input variables (e.g., Sp02 and 02Flow) of the intelligent controller 160 may be clustered into membership functions with values ranging from ‘LOW’ to ‘HIGH’ with a number of intermediate clusters to define the significance of the input value to the overall impact of the input to the control scheme. Based on the membership values, some rules may be constructed. When all the input values are exhaustively implicated in through the rules, a target pressure map/decision surface may be generated.
- the input and/or output values may be normalized.
- the normalization of each value may be carried out based on the actual scales for that quantity. For example, Sp02 may be expressed/measured in terms of percent saturation, 02Flow may be expressed/measured in terms of percent concentration, and the pressure may be expressed/measured in terms of Bars (e.g., maximum 4 bars).
- the intelligent controller 160 may set the target pressure to have a high value responsive to determining that the oxygen saturation value is low and the oxygen concentration value is high. In some examples, the intelligent controller 160 may set the target pressure to have a middle value responsive to determining that the oxygen saturation value is low and the oxygen concentration value is low.
- the intelligent controller 160 may set the target pressure to have a high value responsive to determining that the oxygen saturation value is middle and the oxygen concentration value is middle. In some examples, the intelligent controller 160 may set the target pressure to have a middle value responsive to determining that the oxygen saturation value is middle and the oxygen concentration value is low. [0056] In some examples, the intelligent controller 160 may set the target pressure to have a low value responsive to determining that the oxygen saturation value is high and the oxygen concentration value is high. In some examples, the intelligent controller 160 may set the target pressure to have a middle value responsive to determining that the oxygen saturation value is high and the oxygen concentration value is middle. In some examples, the intelligent controller 160 may set the target pressure to have a high value responsive to determining that the oxygen saturation value is high and the oxygen concentration value is low.
- the intelligent controller 160 may set the target pressure to have a middle value responsive to determining that the oxygen saturation value is low and the oxygen concentration value is middle. In some examples, the intelligent controller 160 may set the target pressure to have a high value responsive to determining that the oxygen saturation value is middle and the oxygen concentration value is high. In some examples, these methods of controlling the pressure may be used for the rules to generate the target pressure map/decision surface.
- the target pressure map / decision surface may be optimized (e.g., by the intelligent controller 160) for each patient.
- each patient may be unique in terms of the controller thresholds defined by the decision surface. Therefore, a parallel computation may be performed to develop a simple multi-variable regression model that may provide the behaviour biases and can be used to scale the original decision surfaces.
- Such a model may be given by the following generic equation:
- Equation 2 the model coefficients (ai, and bi) are estimated using various time-based samples of Sp02 values ( S ,), 02Flow values (/',). and hood pressure values (/',). A set of the coefficient values may then be further investigated in order to establish a pattern that could relate factors such as age, co-morbidity, profession, ethnicity, and physical health in terms of scaling factors to the intelligent controller. This may produce insight on how different patients may react differently to the same treatment, thereby improving the current treatment practices related to Covid-19 or similar epidemics.
- the HBO therapy in the related art is delivered in a designated mono-place or multi -place chambers where the patient’s whole body is subject to hyperbaric environment and 100% oxygen is delivered either by face mask or a head-hood.
- moving the critically ill, highly infective patients (with Covid-19) to these designated places might be risky and could be impossible in some circumstances.
- Aspects of the present disclosure may provide a PHBO hood system having a hood that is configured to cover a head (e.g., by the main hood) and a neck (e.g., by the neck sleeve) of the patient so that only the head and the neck of the patient are exposed to the hyperbaric environment when the patient uses the PHBO hood system.
- PHBO hood system 100 may be easily moved to a place where the patient is located (e.g., intensive care unit, high dependency unit, home, etc.). Also, since the patient does not have to be moved to a designated location for the HBO treatment, the risk of exposing other people (e.g., in the hospital) to COVID-19 can be reduced significantly.
- the PHBO hood system can be used in various situations/conditions, including decompression illness (DCI), air or gas embolism, anemia due to severe blood loss, carbon monoxide poisoning, bums resulting from heat or fire, skin grafts, arterial insufficiency, or low blood flow in the arteries, acute traumatic ischemia/ crush injury, during cancer radiotherapy, gas gangrene, necrotizing soft tissue infections, osteomyelitis, a bone marrow infection, and/or some brain and sinus infections.
- DCI decompression illness
- PHBO hood system may include unstable angina, evolving stroke, at reception of severe injury while blood transfusion is being prepared, during CPR, pre-radiotherapy, as a routine, MS relapse, and/or during thoracic surgery with single lung ventilation on patients with poor reserves.
- the level of arterial oxygenation can be measured either directly by blood gas sampling to measure partial pressure (Pa02) and percentage saturation (Sa02) or indirectly by pulse oximetry (Sp02).
- the content (or concentration) of oxygen in arterial blood may be expressed in mL of oxygen per 100 mL or per L of blood.
- the maximum volume of oxygen that the fully saturated blood with a Hgb of 15 gm can carry is approximately 20 mL (oxygen) per 100 mL blood.
- Sa02 may refer to the arterial oxygen saturation. It may be measured on an arterial blood sample (by spectrophotometry with a multi-wavelength co-oximeter, based on the absorption of light at several different wavelengths). It may depict the overall percentage of binding sites on haemoglobin that are occupied by oxygen. For healthy individuals in breathing room air at sea level, Sa02 may be between 96% and 98%.
- One advantage of the arterial sample is that it may provide values for C02, pH, and bicarbonates for acid-bases status.
- SP02 may be an indirect measurement of Sa02 by pulse oximetry, for example, based on the absorption of light by pulsating arterial blood at two specific wavelengths that correspond to the absorption peaks of oxygenated and deoxygenated haemoglobin. Generally, SP02 may be reliable when oxygen saturation is greater than 88%.
- Examples of some base line status parameters/conditions of a breathing room air condition for a healthy person may be as follows:
- Hyperbaric oxygen therapy may be limited by toxic oxygen effects to a maximum pressure of 300kPa (3 bar).
- “about,” “approximately” and “substantially” are understood to refer to numbers in a range of numerals, for example the range of -10% to +10% of the referenced number, preferably -5% to +5% of the referenced number, more preferably -1% to +1% of the referenced number, most preferably -0.1% to +0.1% of the referenced number.
- these numerical ranges should be construed as providing support for a claim directed to any number or subset of numbers in that range. For example, a disclosure of from 1 to 10 should be construed as supporting a range of from 1 to 8, from 3 to 7, from 1 to 9, from 3.6 to 4.6, from 3.5 to 9.9, and so forth.
- All or some of the disclosed methods and procedures described in this disclosure can be implemented, at least in part, using one or more computer programs or components. These components may be provided as a series of computer instructions on any conventional computer readable medium or machine readable medium, including volatile and non-volatile memory, such as RAM, ROM, flash memory, magnetic or optical disks, optical memory, or other storage media.
- the instructions may be provided as software or firmware, and may be implemented in whole or in part in hardware components such as ASICs, FPGAs, DSPs, or any other similar devices.
- the instructions may be configured to be executed by one or more processors or other hardware components which, when executing the series of computer instructions, perform or facilitate the performance of all or part of the disclosed methods and procedures.
Landscapes
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Pulmonology (AREA)
- Emergency Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Medical Informatics (AREA)
- Physics & Mathematics (AREA)
- Epidemiology (AREA)
- Primary Health Care (AREA)
- Surgery (AREA)
- Pathology (AREA)
- Molecular Biology (AREA)
- Biophysics (AREA)
- General Business, Economics & Management (AREA)
- Business, Economics & Management (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Urology & Nephrology (AREA)
- Databases & Information Systems (AREA)
- Data Mining & Analysis (AREA)
- Spectroscopy & Molecular Physics (AREA)
- Optics & Photonics (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
Abstract
Un système de hotte à oxygène hyperbare portable (PHBO) comprenant une hotte principale, un manchon de col conçu pour être disposé en-dessous de la hotte principale, un système de pompe conçu pour réguler une pression dans la hotte principale afin de créer un environnement hyperbare dans le système de hotte PHBO, et un dispositif de commande intelligent. Le système de pompe comprend une pompe et une conduite d'écoulement conçue pour alimenter de l'oxygène à la hotte principale par l'intermédiaire de la pompe. Le dispositif de commande intelligent est conçu pour recevoir une valeur de saturation en oxygène d'un patient, recevoir une valeur de concentration en oxygène de la conduite d'écoulement, déterminer une pression cible de la hotte principale sur la base de la valeur de saturation en oxygène et de la valeur de concentration en oxygène, et réguler le système de pompe pour changer la pression de la hotte principale vers la pression cible.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US202163196442P | 2021-06-03 | 2021-06-03 | |
PCT/QA2022/050012 WO2022255895A1 (fr) | 2021-06-03 | 2022-06-03 | Hotte à oxygène hyperbare portable (phbo) pour patients atteints de la covid-19 |
Publications (1)
Publication Number | Publication Date |
---|---|
EP4346964A1 true EP4346964A1 (fr) | 2024-04-10 |
Family
ID=84323493
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP22816531.2A Pending EP4346964A1 (fr) | 2021-06-03 | 2022-06-03 | Hotte à oxygène hyperbare portable (phbo) pour patients atteints de la covid-19 |
Country Status (3)
Country | Link |
---|---|
US (1) | US20240245875A1 (fr) |
EP (1) | EP4346964A1 (fr) |
WO (1) | WO2022255895A1 (fr) |
Family Cites Families (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3889670A (en) * | 1974-01-02 | 1975-06-17 | Steven R Loveland | Non-invasive hyperbaric ventilator |
US5315990A (en) * | 1991-12-30 | 1994-05-31 | Mondry Adolph J | Method for delivering incremental doses of oxygen for maximizing blood oxygen saturation levels |
ITMI20020121A1 (it) * | 2002-01-24 | 2003-07-24 | Starmed S R L | Perfezionamenti in cashi per la respirazione artificiale senza l'ausilio di maschere |
SE0401208D0 (sv) * | 2004-05-10 | 2004-05-10 | Breas Medical Ab | Multilevel ventilator |
US20080029096A1 (en) * | 2006-08-02 | 2008-02-07 | Kollmeyer Phillip J | Pressure targeted ventilator using an oscillating pump |
US9737450B2 (en) * | 2013-09-04 | 2017-08-22 | Microbaric Oxyygen Systems, Llc | Hyperoxic therapy systems, methods and apparatus |
-
2022
- 2022-06-03 US US18/566,581 patent/US20240245875A1/en active Pending
- 2022-06-03 EP EP22816531.2A patent/EP4346964A1/fr active Pending
- 2022-06-03 WO PCT/QA2022/050012 patent/WO2022255895A1/fr active Application Filing
Also Published As
Publication number | Publication date |
---|---|
WO2022255895A1 (fr) | 2022-12-08 |
US20240245875A1 (en) | 2024-07-25 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
ES2843105T3 (es) | Método y dispositivo para mediciones respiratorias utilizando muestras de gas de respiración | |
US20190117930A1 (en) | Assistive capnography device | |
US20190201623A1 (en) | Sepsis monitor | |
US8221319B2 (en) | Medical device for assessing intravascular blood volume and technique for using the same | |
US20100099964A1 (en) | Hemoglobin monitor | |
JPH09500721A (ja) | 血液成分監視用の使い捨て式有形導管 | |
US20220047791A1 (en) | Integrated extracorporeal oxygenation and co2 removal with ventilation system | |
JP2005052385A5 (fr) | ||
US20240245875A1 (en) | Portable hyperbaric oxygen (phbo) hood for covid-19 patients | |
JP2002228579A (ja) | ヘモグロビン濃度測定装置 | |
Rubano et al. | An evolving clinical need: discordant oxygenation measurements of intubated COVID-19 patients | |
Kretschmer et al. | A simple gas exchange model predicting arterial oxygen content for various FiO 2 levels | |
Gölcük et al. | Design and construction of a microcontroller-based ventilator synchronized with pulse oximeter | |
KR102348184B1 (ko) | 박동이 없는 체외순환회로용 혈중 산소포화도 측정장치 및 이를 이용한 측정방법 | |
Hussain et al. | Synchronized intermittent mandatory ventilation mode control using pulse oximeter | |
Imitazione et al. | Acute Respiratory Failure in COVID-19 Pneumoniae: The Best Interface for an Optimal Management-A South Italian Experience | |
CN105960198A (zh) | 病患的智能医疗监测 | |
Aldrich et al. | Pulseless oximetry: a preliminary evaluation | |
Stupnutskyi et al. | Application of the Multi-Gas monitoring for the respiratory function evaluation on example of severe COVID-19 pneumonia | |
YAMAN AKTAŞ et al. | Effects of Noninvasive Mechanical Ventilation in COVID-19 Patients | |
Beniwal et al. | SpO2/FiO2 and PaO2/FiO2 for Predicting Intensive Care Admission in Wheezy Children: An Observational Study | |
US20150005591A1 (en) | Tissue to end tidal co2 monitor | |
Wells et al. | 737: TIMING OF TRACHEOSTOMY AND ITS ASSOCIATION WITH LENGTH OF STAY AND MORTALITY | |
Baker et al. | Respiratory failure | |
Abo Alam | Fuzzy logic hemoglobin sensors |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: THE INTERNATIONAL PUBLICATION HAS BEEN MADE |
|
PUAI | Public reference made under article 153(3) epc to a published international application that has entered the european phase |
Free format text: ORIGINAL CODE: 0009012 |
|
STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: REQUEST FOR EXAMINATION WAS MADE |
|
17P | Request for examination filed |
Effective date: 20231207 |
|
AK | Designated contracting states |
Kind code of ref document: A1 Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR |
|
DAV | Request for validation of the european patent (deleted) | ||
DAX | Request for extension of the european patent (deleted) |